| 叶勇强,刘欢,刘红彬,吕建伟,谢飞,郝建强.颅底凹陷症及伴寰枢椎脱位MRI分型诊断与治疗研究进展.[J].中南医学科学杂志.,2025,(2):369-372. |
| 颅底凹陷症及伴寰枢椎脱位MRI分型诊断与治疗研究进展 |
| Research progress in the classification and treatment of magnetic resonance imaging in patients with basilar invagination and atlantoaxial dislocation |
| 投稿时间：2024-09-04 修订日期：2025-01-10 |
| DOI：10.15972/j.cnki.43-1509/r.2025.02.044 |
| 中文关键词: 颅底凹陷症 寰枢椎脱位 磁共振成像分型 治疗 [ |
| 英文关键词:basilar invagination atlantoaxial dislocation MRI classification treatment |
| 基金项目:四川省卫生健康委员会科技项目(23LCYJ006) |
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| 中文摘要: |
| 颅底凹陷症是一种涉及颅底结构异常的病理状态,常伴随寰枢椎关节脱位,导致严重的神经功能损害和临床症状。近年来,磁共振成像(MRI)作为一种重要的成像技术,在该疾病的诊断和分型中发挥了关键作用。本文综述了颅底凹陷症及其伴随的寰枢椎关节脱位的MRI分型方法,探讨了不同类型颅底凹陷与临床表现和预后的相关性。同时,回顾了近年来针对该疾病的治疗进展,包括保守治疗与外科干预的有效性及适应证。通过对现有文献的分析,本综述旨在为临床医生提供关于颅底凹陷症的最新认识,促进早期诊断及个体化治疗策略的制定,以改善患者的整体预后。 |
| 英文摘要: |
| AimBasilar invagination is a pathological condition involving abnormal skull base structure, often accompanied by atlantoaxial dislocation, leading to severe neurological impairment and clinical symptoms. In recent years, magnetic resonance imaging (MRI), as an important imaging technique, has played a key role in the diagnosis and classification of this disease. This article reviewed the MRI classification methods of basilar invagination and the accompanying atlantoaxial dislocation, and explored the relevant researches on the impacts of different types of basilar invagination on clinical manifestations and prognosis. At the same time, the treatment progress of this disease in recent years, including the effectiveness and indications of conservative treatment and surgical intervention, was reviewed. Through the analysis of existing literature, this review aimed to provide clinicians with the latest understanding of basilar invagination, promote early diagnosis and the formulation of individualized treatment strategies, and improve the overall prognosis of patients. |
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